How to Take a History—"My List"
List of possible sites of lesions accounting for paraparesis:
- Anatomic Location
- Example of lesion
- lumbosacral plexus
- large retroperitoneal tumor (e.g. sarcoma)
- lumbar spinal canal
- large acutely herniated disc—Guillian-Barre syndrome
- thoracic spinal canal
- tumor, e.g. schwannoma
- craniocervical junction
- tumor, e.g. meningioma
- midline lesion of cerebral hemispheres
- falx meningioma, SAH-induced spasm of both anterior cerebral arteries, occlusion of superior sagittal sinus
(Cervical spinal canal problems usually present with arm symptoms.)
So, use this to goad your thinking about anatomic locations for problems.
The most obvious choice may not be the correct choice.
